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September 16, 2025ChildrenOpen Access

Video-Assisted Thoracoscopic Surgery Versus Tube Thoracostomy with Fibrinolytics for Treatment of Empyema in Children: A Meta-Analysis of Randomized Controlled Studies

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Authors

MMMaria Enrica MisciaGLGiuseppe LauritiDRDacia Di Renzo

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Overview

Meta-analysis reveals video-assisted thoracoscopic surgery improves outcomes in children with empyema, indicating potential advantage over fibrinolytics.

Key Points

  • Patients treated with video-assisted thoracoscopic surgery showed a significantly shorter length of hospital stay.
  • Meta-analysis included six randomized controlled trials covering 345 patients, revealing key differences in postoperative outcomes.
  • Video-assisted thoracoscopic surgery resulted in reduced postoperative fever duration and earlier chest tube removal.
  • Findings suggest that children treated for empyema may benefit from video-assisted thoracoscopic surgery over traditional methods.

Cite This Study

Miscia et al. (2025) studied this question.

synapsesocial.com/papers/68d421a2713b0b5dfea6a4d2https://doi.org/10.3390/children12091225
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intrapleural Fibrinolytics use in Children with Pleural Empyema: Safe and Effective2026
  2. 2Efficacy and Cost-Effectiveness of VATS Versus Chest Tube Drainage in First-Episode Primary Spontaneous Pneumothorax With Blebs: A Propensity Score-Matched Retrospective Study2025
  3. 3Clinical Spectrum and Outcome in Children Presenting with Empyema Thoracis in Tertiary Care Hospital: Role of Intrapleural Streptokinase2025
  4. 4Trends and Outcomes of Endobronchial Valve and Video-assisted Thoracoscopic Surgery for Bronchopulmonary Fistulas2025
  5. 5Management of parapneumonial pleural empyema in children: a survey of the Italian Society of Infantile Videosurgery (SIVI)2025